How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $223.87 Median $2,570.40 Typical High $3,890.45 | Facility | None | $223.87 | $2,570.40 | $3,890.45 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $190.55 Typical High $239.88 | Professional | None (both parts) | $177.83 | $190.55 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $93.33 Typical High $120.23 | Professional | 26 · Professional part | $85.11 | $93.33 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $100.00 Typical High $123.03 | Professional | TC · Technical part | $95.50 | $100.00 | $123.03 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $2,691.53 Typical High $5,128.61 | Facility | None | $0.02 | $2,691.53 | $5,128.61 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $190.55 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $190.55 | $245.47 | $245.47 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $128.82 Typical High $128.82 | Professional | 26 · Professional part | $100.00 | $128.82 | $128.82 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $117.49 Typical High $117.49 | Professional | TC · Technical part | $91.20 | $117.49 | $117.49 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $70.79 | $70.79 | $70.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $208.93 Typical High $309.03 | Professional | None (both parts) | $165.96 | $208.93 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $102.33 Typical High $147.91 | Professional | 26 · Professional part | $79.43 | $102.33 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $109.65 Typical High $158.49 | Professional | TC · Technical part | $85.11 | $109.65 | $158.49 |
United Setting Facility Modifier None Typical Low $89.13 Median $346.74 Typical High $1,202.26 | Facility | None | $89.13 | $346.74 | $1,202.26 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $194.98 Typical High $309.03 | Professional | None (both parts) | $162.18 | $194.98 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $91.20 Typical High $144.54 | Professional | 26 · Professional part | $74.13 | $91.20 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $102.33 Typical High $162.18 | Professional | TC · Technical part | $83.18 | $102.33 | $162.18 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $95.50 Typical High $120.23 | Professional | 52 · Reduced service | $93.33 | $95.50 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.90 Typical High $47.86 | Professional | 53 · Discontinued | $38.02 | $38.90 | $47.86 |
Where Louisiana sits
The same service costs 4.3 times more in Wisconsin than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Louisiana· 22nd of 51
$224
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.